NPI 1104193754

Id Consultant PLLC

Organisation Infectious Disease Physician Greeneville, TN

Practice location

Address: 1420 Tusculum Blvd, Greeneville, TN 37745-4279
Phone: (423) 783-6400
Fax: (423) 787-5146
Mailing address: PO Box 4015, Johnson City, TN 37602-4015

Authorised official

Name: Hiren B Patel
Title: Owner
Phone: (423) 943-4030

Registered specialties

Infectious Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RI0200X

Other Internal Medicine providers in Tennessee →

Registry record

NPI: 1104193754
Entity type: Organization
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.